HomeMy WebLinkAbout119 Monroe Rd - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
BURT W /KIKI M REID
919 W LAURIDSEN BLVD
PORT ANGELES WA 983628735
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T-\Policies \1102.15R [1/05)
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
08 00000978 Date 9/23/08
881878
119 MONROE RD
06 30 12 5 7 1800 0000
EUGA PUBLIC WORKS UTILITIES
UNKNOWN
0
Contractor
OWNER
Permit EUGA SAN SEWER HOOKUP
Additional desc
Permit pin number 131961
Permit Fee 120 00 Plan Check Fee
Issue Date 9/23/08 Valuation
Expiration Date 3/22/09
Qty Unit Charge Per
1 00 120 0000 EA EUGA SAN SEWER HOOKUP
EUGA COUNTY SEWER DEV FEE 3093 00
EUGA CITY SEWER DEV FEE 1125 00
Charged Paid Credited
120 00 120 00 00
00 00 00
4218 00 4218 00 00
4338 00 4338 00 00
Due
Extension
120 00
00
00
00
00
0 0
0
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last
inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
7/z34 3/
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
0
5
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE fkOVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO coo,
INSULATE OR CONCEAL Aivr WORK,BEFOREINSPECTO AN ACtEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT.CARD AND APPRO PLAN IOB SITE
PW UTILITIES (Engineering Division)
WATERLINE /METER
SEWER:CONNECTION
I SANITARY
STORM:
SITE DRAINAGE
SITEERPSIONCONTROL
PARKING
:1
INSPECTION TYPE
CONSTRUCTION:R:W
ENGINEERING
FIRE.
E.PLAIstNING.DEPT:
T''Kpelicies\)401.15R11/05)r
417-475C
417-4815
PERMIT ANSP.ECTION RECORD
DATE ACCEPTED' COMMENTS
YES 1 NO
It
I I
1
I
L'AF
I 1.
I
I
I -I
1 1
'W. 4,., s.,..,,...
v .11 1
A, ■14..4
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f;'"'
pi 4...r;
-FINAL:INSFECTION OCCUpANCylUSE':
;R. Itigitii1V faL4-, i'-' •0201F-x4'.:: YES k '4' 9' 63, .651■11,IviEiie1lii.. -4--; 4.- .;AceiiiEik;
,o6i4stitudTioN it.W.
417-4410 PW 1 ENGINEERING”
417-46531 1 1 ,1 TIRE DEPT.
PLANNING DEPT
BUILDING